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Name
Address
City
State
Home Phone
Work Phone
Pager/Cellular
Email
Education (highest level completed)
Current/Most Recent Salary (per year)
Bonus or Commission (if applicable)
Next Review Date
Current/Most RecentEmployer
Current/Most Recent Title
Employer's Products or Services
What is motivating your decision to leave your current job?
Describe your search activity over the past 3 to 6 months. Please include any information about interview and/or offers you have had, as well as the types of positions, etc.
Describe in detail what you would be doing in your ideal next position. What technology would you work with (e.g. injection, blow, extrusion,or CAD systems, etc.)? Whou would you report to? What types of projects woudl you be working on. (The more detail you provide, the better for us to understand your career aspirations.)
Where can you relocate to geographically?
Do you expect a counter-offer from your current employer? Yes No
Have you ever received a counter-offer? Yes No
Did you accept it or turn it down (if applicable)? Accepted Turned down
Why (if applicable)?
Professional References